In 2012, over 47 million Americans were uninsured. Due to the rising costs of health care, decreases in employer sponsored health care, and ineligibility gaps for public programs, the number of insured people has steadily increased (KFF, 2013). In an effort to overhaul the broken, fragmented system, massive health care reform has been launched. The most far-reaching law affecting managed care since the creation of Medicare and Medicaid, the Patient Protection and Affordable Care Act “ACA” was signed into law on March 23, 2010 (Kongstvedt, 2013). This controversial and comprehensive piece of legislation focuses on provisions to expand coverage improves health care delivery systems, increase consumer protection, and control health care costs (KFF, 2013).
While no one can accurately predict what impact all the changes will have on future costs, undoubtedly we are entering a new health care landscape that will be very different from the health care system of the past. This paper will attempt to explore the impact of the Affordable Care Act on current and future practices of health insurance and managed care. Additionally, this paper will address the effects of reform felt by hospital administrators and how the ACA influences their decisions moving forward.
The Effect of the ACA on Health Insurance and Managed Care
The key provisions of the Affordable Care Act are designed to decrease obstacles for obtaining health care coverage as well as accessing care. After the legislation is fully implemented, all Americans will be required to have health insurance through an employer, or through a public program such as Medicare or Medicaid, or by purchasing through an insurance exchange (Bihari...
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...n. Retrieved from: http://kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/
Kongstvedt, P.R. (2013). Essentials of managed health care (6th ed.). Sudbury, MA: Jones and Barlett.
Maniam, B., Black, L., & Leavell, H. (2013). The financial and economic effects of the patient protection and affordable care act (PACA). Journal Of The Academy Of Business & Economics, 13(1), 201-206.
Medicare.gov. (2013). Linking quality to payment. Retrieved from: http://www.medicare.gov/hospitalcompare/linking-quality-to-payment.html
Robert Wood Johnson Foundation. (2012). How does Medicare value-based purchasing work? Retrieved from: http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2012/rwjf73146
Wall Street Journal. (2011, June 19). The Accountable Care Fiasco. Retrieved from: http://online.wsj.com/news/articles/SB10001424052702304520804576343410729769144
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